Provider Demographics
NPI:1437295995
Name:ONE CALL MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ONE CALL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UDUAK
Authorized Official - Middle Name:ETUN
Authorized Official - Last Name:AKAN ETUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-505-0333
Mailing Address - Street 1:6214 THORNTON AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3732
Mailing Address - Country:US
Mailing Address - Phone:510-505-0333
Mailing Address - Fax:510-505-0396
Practice Address - Street 1:6214 THORNTON AVENUE
Practice Address - Street 2:SUITE B
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-3732
Practice Address - Country:US
Practice Address - Phone:510-505-0333
Practice Address - Fax:510-505-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43479332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid
UT=========001Medicaid